| Doctor Name: | BETHANY SHADLE |
| NPI Number: | 1780872887 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 40QA01174500 |
| Business Practice Address: | 24400 Highpoint Rd Suite 10 Beachwood, OH - 441226054 |
| Business Phone Number: | 2168960824 |
| Business Fax Number: | 2168960825 |
| Mailing Address: | 24400 Highpoint Rd, Suite 10 BEACHWOOD |
| State: | OH |
| Postal Code: | 441226054 |
| Phone Number: | 2168960824 |
| Fax Number: | 2168960825 |
| NPI Enumeration Date: | 10/15/2007 |
| NPI Last Update Date: | 12/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01174500 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |